Arthroscopic Technique for Isolated Posterolateral Rotational Instability of the Knee

Ohnishi, Yasuo; Pascual‐Garrido, Cecilia; Kumagae, Hiroto; Sakai, Akinori; Uchida, Soshi

doi:10.1016/j.eats.2016.09.033

Cited by 7 publications

(10 citation statements)

References 17 publications

(18 reference statements)

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“… 6 , 7 However, the use of native material in arthroscopic posterolateral instability treatment has been reported by Ohnishi et al. 8 Creating an arthroscopic portal on the lateral side of the knee (midlateral portal) was the key to achieving better access for PLC structures and to using PLT as a native material in posterolateral instability treatment. From the biological point of view, using a vascularized tendon presented in the knee joint accelerates the healing process and provides material with the most natural toughness.…”

Section: Discussionmentioning

confidence: 99%

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Arthroscopic Posterolateral Corner Stabilization With Popliteus Tenodesis

Hermanowicz¹,

Góralczyk

Malinowski³

et al. 2018

Arthroscopy Techniques

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The injuries of the posterolateral corner (PLC) of the knee often remain misdiagnosed. Because most structures in this anatomical region have low potential to heal, the posterolateral rotational instability results in a deterioration in patient quality of life, impaired biomechanics of the knee, and increased tension on other ligaments and the meniscus. Many open and a few arthroscopic techniques have been developed to repair or reconstruct the damaged structures of the PLC. Creating an additional midlateral arthroscopic portal on the lateral side of the knee was the key to developing the technique to recreate a static stabilizer against external rotational instability of the PLC by fixing the popliteus tendon as a native, vascularized material to the tibia.

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Section: Discussionmentioning

confidence: 99%

“… 1 , 4 , 5 In addition, arthroscopic reconstruction techniques have been developed. 6 , 7 , 8 Following the idea of Frosch et al., 6 , 7 the additional midlateral arthroscopic portal was created. Using this portal, a unique treatment option using popliteus tendon (PLT) as a static, natural, vascularized stabilizer for the PLC was developed.…”

mentioning

confidence: 99%

Arthroscopic Posterolateral Corner Stabilization With Popliteus Tenodesis

Hermanowicz¹,

Góralczyk

Malinowski³

et al. 2018

Arthroscopy Techniques

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show abstract

“…Numbers of surgical techniques have been developed for treatment of PLC injuries what outlines that it is a very complex problem and no simple solution does exist [7,9,[14][15][16][17][18][19][20]. Among them one can differentiate 3 types of procedures: tightening of injured structures, PLT bypass and anatomic reconstructions [9,21].…”

Section: Current Surgical Treatment Optionsmentioning

confidence: 99%

“…However, detailed description of each available technique for PLC tears treatment is far beyond the scope of this chapter. Interested readers we send to positions from literature [14][15][16][17][18][19][20].…”

Section: Current Surgical Treatment Optionsmentioning

confidence: 99%

Injuries of the Posterolateral Corner of the Knee-Diagnosis and Treatment Options for Beginning and Advanced Arthroscopic Surgeons

Góralczyk¹,

Jancewicz²,

Hermanowicz³

2022

Arthroscopy

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Injuries to the posterolateral corner (PLC) of the knee may have a devastating impact on whole joint. Posterolateral rotatory instability, despite getting more and more popular among orthopedic surgeons, still remains challenging to diagnose and even more challenging to treat. Available surgical techniques are demanding and require advanced surgical skills. In this chapter we are going to review the diagnostic tools which help to recognize posterolateral rotatory instability of the knee, to outline its importance and consequences of misdiagnosis as well as present arthroscopic popliteus tenodesis and arthroscopic-assisted posterolateral corner reconstruction which are our minimally invasive techniques used to treat this condition depending on PLC injury pattern and grading. Presented techniques are reproducible, safe and do not require advanced surgical skills being a useful alternative for available open PLC reconstructions.

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“…In 2017, Ohnishi et al described an all-arthroscopic technique for non-anatomic reconstruction in cases of isolated posterolateral rotational instability [ 23 ]. They described a stabilization of the posterolateral joint capsule through tightening and attachment of the lateral meniscus to the lateral tibial plateau.…”

Section: Arthroscopic Techniques For Plc Reconstructionmentioning

confidence: 99%

Posterolateral corner of the knee: a systematic literature review of current concepts of arthroscopic reconstruction

Weiß

Krause

Frosch

2020

Arch Orthop Trauma Surg

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Introduction Injuries of the posterolateral corner (PLC) of the knee lead to chronic lateral and external rotational instability and are often associated with PCL injuries. Numerous surgical techniques for repair and reconstruction of the PLC are established. Recently, several arthroscopic techniques have been published in order to address different degrees of PLC injuries through reconstruction of one or more functional structures. The purpose of this systematic review is to give an overview about arthroscopic techniques of posterolateral corner reconstructions and to evaluate their safeness. Materials and methods A systematic review of the literature on arthroscopic reconstructions of the posterolateral corner of the knee according to the PRISMA guidelines was performed using PubMed MEDLINE and Web of Science Databases on June 15th, 2020. Inclusion criteria were descriptions of surgical techniques to reconstruct different aspects of the posterolateral corner either strictly arthroscopically or minimally-invasive with an arthroscopic assistance. Results Arthroscopic techniques differ with regard to the extent of reconstructed units (popliteus tendon, popliteofibular ligament, lateral collateral ligament), surgical approach (transseptal, lateral) and biomechanical results (anatomic vs. non-anatomic reconstruction, restoration of rotational instability and/or lateral instability). Conclusion Different approaches to arthroscopic PLC reconstruction are presented, yet clinical results are scarce. Up to now good and excellent clinical results are reported. No major complications are reported in the literature so far.

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Arthroscopic Technique for Isolated Posterolateral Rotational Instability of the Knee

Cited by 7 publications

References 17 publications

Arthroscopic Posterolateral Corner Stabilization With Popliteus Tenodesis

Arthroscopic Posterolateral Corner Stabilization With Popliteus Tenodesis

Injuries of the Posterolateral Corner of the Knee-Diagnosis and Treatment Options for Beginning and Advanced Arthroscopic Surgeons

Posterolateral corner of the knee: a systematic literature review of current concepts of arthroscopic reconstruction

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